Ashton Creek Health and Rehabilitation Center
4111 Park Place Drive, Fort Wayne, IN 46845 · Allen County · 139 certified beds · avg 118 residents/day · certified since Jul 31, 2012
Part of chain: TLC MANAGEMENT (20 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jul 22, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 22, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 22, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Nov 17, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 17, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Aug 23, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jul 11, 2023 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Jul 11, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 11, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 11, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 11, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | E |
| 2024 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.89 | 3.42 | 3.95 | top 18% in Indiana; top 44% in the U.S. |
| Registered Nurse hours | 1.02 | 0.62 | 0.69 | top 7% in Indiana; top 15% in the U.S. |
| Weekend total nurse staffing | 3.34 | 3.01 | 3.50 | top 23% in Indiana; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.88 | 0.47 | 0.48 | top 5% in Indiana; top 9% in the U.S. |
| Total nursing staff turnover (%) | 57.1 | 45.9 | 45.8 | bottom 19% in Indiana; bottom 21% in the U.S. |
| RN turnover (%) | 21.1 | 40.4 | 42.9 | top 16% in Indiana; top 16% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.86, RN 1.01, weekend 3.31. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Riverview Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2014 |
| Adams, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2014 |
| Adams, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2014 |
| Ashton Creek Healthcare Operations Company LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2014 |
| Ashton Creek Healthcare Operations Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Diebold Road Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2014 |
| Friend, Jayna | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2021 |
| Gibson, Cullen | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Gibson, Derek | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2014 |
| Gibson, Derek | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2014 |
| Hyatt, David | Individual | Corporate Officer | NOT APPLICABLE | 01/28/2022 |
| Hyatt, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/28/2022 |
| Orrell, James | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Ott Family Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 08/01/2014 |
| Ott, Dwight | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Ott, Gary | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/25/2025 |
| Ott, John | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Ott, Ryan | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Rajmaira, Salil | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Showalter, Jennifer | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Grey Stone Health and Rehabilitation Center | 0.7 mi | Fort Wayne, IN | ★☆☆☆☆ | 1/5 | |
| Heritage Pointe of Fort Wayne | 2.3 mi | Fort Wayne, IN | ★★★★★ | 5/5 | |
| Lutheran Life Villages | 2.4 mi | Fort Wayne, IN | ★★★★★ | 5/5 | |
| Bethlehem Woods Nursing and Rehabilitation | 3.5 mi | Fort Wayne, IN | ★★★★★ | 4/5 | |
| Towne House Retirement Community | 4.0 mi | Fort Wayne, IN | ★★★★★ | 5/5 | |
| Canterbury Nursing and Rehabilitation Center | 4.3 mi | Fort Wayne, IN | ★★★★★ | 4/5 | |
| University Park Rehabilitation and Healthcare | 4.8 mi | Fort Wayne, IN | ★★☆☆☆ | 1/5 | |
| Kingston Health Center of Fort Wayne | 5.0 mi | Fort Wayne, IN | ★★★☆☆ | 2/5 | |
| Cedars the | 5.5 mi | Leo, IN | ★★★★☆ | 4/5 | |
| Glenbrook Rehabilitation & Skilled Nursing Center | 5.7 mi | Fort Wayne, IN | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155798.